J Korean Med Sci.  2015 May;30(5):644-650. 10.3346/jkms.2015.30.5.644.

Inpatient Stroke Rehabilitation Outcomes in Korea Derived from the Korean Brain Rehabilitation Centers' Online Database System for the Years 2007 to 2011

• Joa KL
• Han TR
• Pyun SB
• Rah UW
• Park JH
• Kim YH
• Chun MH
• Paik NJ
• Yoo SD
• Lee SG
• Park SW
• Im SH
• Jung HY

• KMID: 2155480
• DOI: http://doi.org/10.3346/jkms.2015.30.5.644

Abstract

The purpose of this report was to provide information for patients receiving inpatient rehabilitation after stroke and to identify the possible factors influencing functional outcome after inpatient rehabilitation. Stroke patients (n = 5,212) who were discharged from the Departments of Rehabilitation Medicine (RM) of university hospitals and rehabilitation hospitals from 2007 through 2011 were participants. Prevalence, age, transfer time after onset, length of stay (LOS), functional status at admission and discharge were analyzed. In all stroke subjects, cerebral infarctions (67%) were more common than hemorrhages. Cerebral infarctions in the middle cerebral artery territory were most common, while the basal ganglia and cerebral cortex were the most common areas for hemorrhagic stroke. The LOS decreased from 45 to 28 days. Transfer time after onset decreased from 44 to 30 days. Shorter transfer time after onset was correlated with better discharge functional status and shorter LOS. Initial functional status was correlated with discharge functional status. In ischemic stroke subtypes, cerebellar and brainstem strokes predicted better outcomes, while strokes with more than one territory predicted poorer outcomes with more disabilities. In hemorrhagic stroke subtypes, initial and discharge functional status was the lowest for cortical hemorrhages and highest for brainstem hemorrhages. This report shows that LOS and transfer time after onset has been decreased over time and initial functional status and shorter transfer after onset are predictors of better functional outcome at discharge.

Keyword

Stroke; Rehabilitation; Outcome; Database; Korea

MeSH Terms

Aged
Aged, 80 and over
*Databases, Factual
Demography
Female
Hemorrhage/complications
Hospitals, University
Humans
Inpatients
Ischemia/complications
Length of Stay
Male
Middle Aged
Rehabilitation Centers
Stroke/etiology/*rehabilitation
Treatment Outcome

Figure

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  Fig. 1 Trends in K-MBI gain and K-MBI efficiency over time.

• 

  Fig. 2 Trends in transfer time after onset and length of stay over time.

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